- CenterWell (Austin, TX)
- **Become a part of our caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety of ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Director , Medical Coding requires an in-depth understanding of how organization capabilities… more
- CVS Health (Austin, TX)
- …First Level Appeals / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement ... License without encumbrances or willing to obtain a Texas License. In the Medical Director role you will provide oversight for medical policy implementation.… more
- CVS Health (Austin, TX)
- …day. **Position Summary** Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director . Ready to take your career to the next level with a ... anywhere in the United States. In this role as Medical Director MPO ( Medical Policy...direction in these areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- Datavant (Austin, TX)
- …requirements, medical record standards, and regulatory guidance impacting concurrent coding or risk adjustment. + Product experience integrating into EHRs or ... experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the… more
- CVS Health (Austin, TX)
- …**This is a remote based (work at home) based anywhere in the US.** The Medical Director (Ortho/Total Joint) will be a Subject Matter Expert (SME) with a ... post-graduate direct patient care experience specifically. This role expands Aetna's medical management programs to address member needs across the continuum of… more
- Baylor Scott & White Health (Austin, TX)
- **Job Summary** The Director , Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial ... management function for Baylor Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified … more
- Public Consulting Group (Austin, TX)
- …Enablement + Business Solutions + Project Assurance PCG is hiring a Director with focus on delivering management consulting services and developing new business ... strong client relationships, and developing proposals that meet client needs. The Director will collaborate with senior client executives to implement or advise on… more
- FranklinCovey (Austin, TX)
- …schools and institutions. To learn more, visit franklincovey.com **Title:** Director of Engineering - FranklinCovey Enterprise **Payroll Title:** Director ... like the FranklinCovey AI Coach **Job Summary** FC is seeking a hands-on Director of Engineering to lead multiple product teams building the learning experiences and… more
- Ford Motor Company (Austin, TX)
- …within the M&S Dealer Experience Platforms team, you will report to an IT Director , MarTech & Dealer Platforms. This Director reports to Suresh Kandula, CTO ... Integrated Services & Director Retail Services Technology, who leads a global IT...and mentorship within the engineering community, including occasional hands-on coding and code evaluation. + Collaborate effectively with digital… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. The Lead Director , National VBC Performance Planning & Insights will act as a strategic leader driving ... actionable insights that guide business decisions for national and local providers. The Director will also play a key role in supporting the development and tracking… more
- Molina Healthcare (Austin, TX)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight of ... audit projects and deliverables related to accurate billing and coding . This role also works with the Health Plan...source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of… more
- CVS Health (Austin, TX)
- …and every day. **Position Summary** We are seeking an innovative and experienced ** Director of Engineering Clinical AI** to lead our initiatives in developing and ... (EHR) systems and clinical workflows. + Understanding of clinical terminologies and coding systems (eg, SNOMED, LOINC, ICD-10). + Experience with clinical data… more
- Teradata (Austin, TX)
- …user experiences powered by modern web technologies and AI-driven design. As the Senior Director of User Platforms, you will: + Lead and inspire the Console team and ... impact across our workforce-leveraging AI to streamline design, accelerate coding , personalize experiences, and improve accessibility. + Champion experimentation… more
- CVS Health (Austin, TX)
- …culture of creativity, experimentation, and learning. + Ensures adherence to coding standards, software development methodologies, and testing practices to deliver ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Datavant (Austin, TX)
- …1 facility. SMART software experience preferred. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- Baylor Scott & White Health (Round Rock, TX)
- …in the Austin Region. + Will work closely and partner with the Urgent Care Medical Director . + Develop standardization for Urgent Care. + Scale growth for the ... the practice and provider goals with those of the Medical Group. + Designs operational plans for practice. +...and charges are posted timely and accurately. + Ensures coding changes are identified and implemented. + Works closely… more
- CVS Health (Austin, TX)
- …current skills and development needs. Assesses training needs and works with SIU Director on development plans for team members. Develops and maintains close working ... New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of Aetna's policies and… more